tv National Substance Abuse Report CSPAN September 15, 2017 7:50am-9:31am EDT
we are learning -- we don't necessarily know yet but we are learning that programs and the safe stations program in maryland are helping us reach out and engage people in care early on before they have to overdose. for over two decades it has played a vital role in sustained recovery of millions who are living healthy and productive lives building their communities and contributing to the well
being of their country. they are community based and focused on screening and early intervention, expanded access to recovery services for all people who have disorders and improving the quality of care. addresses conditions including infectious diseases such as hiv and hepatitis. key programs include that can treat disorders through our intensive training and certification processes.
population targeted efforts for pregnant and post partum women and enables states and territory to respond with data driven targeted response using proven strategies with the greatest unmet need. it closely monitors the programs we fund programs are improving health, public safety and social outcomes. they are increasing housing, employment and they are reducing criminal justice involvement. still, we remain aware of how much we have yet to accomplish. this has been used for success and other international health programs and working with public and private partners to reduce
disorders across the company. our initial data analysis which was conducted has reenforced and expanded our understanding that the public and private health efforts must be early and comprehensive screening and effective engagement and treatment for those identified. our data is consistent with findings in this field including author robin williams. to meet the ongoing and health challenges our nation changes csat will continue to focus on screening and high quality care supporting sustained recovery
and he opened two treatment programs. he serves as program sponsor for both programs and is program director. he also currently serves on a committee and board of directors and on the board of directors of the southeastern institute of chemical dependency. you have proof people go onto do incredible things. thank you for helping our nation turn the tide and thank you for all of your efforts to support individuals, communities as they work to prevent these chronic health conditions. [ applause ]
>> hello. my name is zach. i currently reside in georgia where i serve adds the program director. i was born in knoxville, tennessee, eastern tennessee and then grew up i came from an upper middle class church going family. we prioritized family, faith and education. i went onto graduate with my bachelor's degree before enrolling in the masters of social work program at the college of social work. during my time as a graduate student in the social work program i was prescribed pain
medication. it was as if i had never lived before. something almost immediately changed in me and a dependence turned addiction to opioid began to engulf my life. not long after i was dismissed i was a regular daily iv heroin user. i remember going into the bathroom and shooting up between classes to ward off withdr withdrawsymptoms. i was a high functioning addict. i wasn't one of them. i came from a good family from good southern stock we would say. they weren't addicts. we were people of faith, community leaders and role models. i'm here to tell you it knows no boundaries by class or race, by
ready. i kept going over and over but like so many other people at the time i was hesitant thinking i would be trading the witch for the devil. i was desperate. i called the programs closest to me. we defined they had long wait lists and could not get me in. in a moment of december prir ration i drooef two hours and enrolled in a treatment program in northwestern georgia. i found i was not only stabilized with medication that allowed me to live a normal life again, allowed me to break the chains and the cycle of living to avoid withdraws. it was a more important priority. the old zach quickly came back
the program sponsor having written the policies and procedures manual. i have studied and worked to achieve certification as an alcohol and drug abuse counselor. i am successful and living the recovery life. this was made possible because of medication assisted treatment. methadone combined with quality counseling saved my life. since the early day i am someone that has been slowly able to taper down my dosage working on counseling. i recognize that isn't possible for everyone just like any other chronic disease like diabetes different people need different amounts of medication for different periods of time. many in recovery may need long term or indefinite maintenance and that is okay. [ applause
[ applause ] >> what matters is someone's life and their quality of life, not whether or not they happen to take a legal medication or for how long they might need to take it. during this opioid crisis we have an obligation that offer help and hope be they absten nance based, short term or extending months or years are indefinitely we have to support all of the medications at our dispos disposal. all three medications have their place and we should not pit anyone against the other. we must support use for overdose reversal so people like me can stay alive long enough until we get the help, the evidence based help that we need. we have to train first
responders, teachers, counselors and family and friends at risk for opioid addiction and we have to recognize some people need more than one dose and for some people it might take more than one overdose before they are ready for treeatment. we have to do what is necessary to keep people alive while supporting treatments if we are going to turn this opioid crisis around. i am living proof there is life after opoid addiction. you're looking at the face that happened to stumble into a research center. and because of that along with my own dedication to the hard work of recovery i'm here to speak with you all today. my recovery means everything to
me. for without my recovery i likely would not have my life. and so i personally want to extend my heartfelt thanks to all of our leaders who are here today and to president trump for his convening the opioid commission as they work to bring help and hope. it will take us all working together despite political affiliation or other background to turn this epidemic around. thank you. [ applause ]
>> thank you so much, zach for giving back to the community and also being a social worker. before i do oepen the floor for questions please join me in a round of applause. >> so we'll start with credentialed press. if you have a question please indicate for which panelist you want to pose the clarity. seeing none for media. yes, ma'am.
[ inaudible question ] we are talking about the opiod crisis. i have not heard much but what we are seeing is there's an increase in use particularly among young people. i'm curious as to what the panel thinks in terms of alcohol's role in this current epidemic. >> kim, do you want to take that? >> sure. so alcohol is our biggest drug of abuse.
it is higher than overdose deaths. we know we have done a really good job. what we are seeing is young adults and they start pretty heavily. that is a target that we have to do. we know young adults, our highest user is for everything. we need to do a much better job targeting prevention and treatment activities for that age group a lot of times they don't think they have a problem. they are in a social environment where their use is the norm, so we really have to address that. >> yes, joe. >> yes. my name is joe powell. i'm president and ceo of persons
addicted. it is recovery data. would you care to take that? >> i'm glad you asked that. we just received clearance to add recovery questions to our 2018 survey. [ applause ] >> my question is for acting director. i'm a person in long term recovery. thank you for your recognition of recovery during your remarks. you know, one thing is needs to champion the barriers people have in finding and sustaining recovery, housing, education and employment are critical. why did it fail to mention the
importance of recovery in solving the crisis? we have to fund and not just talk about the entire continue yum. >> thank you for your comments. let me answer the question directly. this initial report that just came out a few weeks ago is only the very first piece of what the commissioner is working on. they are planning a comprehensive report probably out of the end of october. i am very confident it will include a very strong language and recommendations for later. let me reiterate on behalf we absolutely are committed to understanding, addressing and removing obstacles to full recovery to the millions who are trying to get their lives back.
as i said, people in recovery are doing what we want them to do. they are reclaiming their lives. when people have taken their really difficult steps and changed their lives we have to make it easier for them, not harder for them. i certainly understand and i have had a lot of conversations about employment and the challenges that people face who may have had years of using drugs. we have got to get -- these obstacles have been removed. we want them back in the community and we are committed to really understanding those obstacles and would ask for help to try to understand the obstacles, the laws, regulation, state and federal that we can address because we are with you 100%. >> good morning. i'm from new york state. i would just like to first of
all say this has been powerful today which i appreciated so much. when we look at young people and the numbers of young people that are using marijuana i felt the family was excellent because they talked about things that are related. if we string all of that together and we look at what we have done around cigarettes i think we really have to look at prevention and getting the message out. just getting the message out of how it is connected to long-term outcomes. when we look at cigarettes look at what's happening with that the number of people that are not smoking now i think there's a lot we can do with that. if we are going to turn this around we have to focus this. i'm in recovery. we have to focus on having
people -- we have to put ourselves out of business as we used to say. >> hi. what my question is people coming out of incarceration and, you know, the lack of programs for reintegration. is there anything that we can do as a community around the country to come together and try to provide these services it desperately needed how to balance a checkbook. i spent 20 years incarcerated. i have a couple of people who had support. many people don't have that support. i go back into the prisons today
and try to bring hope of recovery to these people. and i bring hope to these people and the problem is when they leave incarceration there's nothing for them and nothing but stigma set on them and jobs. this is where we need to come together. the other issue, i'm a manager of a program called anchor ed. i provide for anybody that comes in but the great number of people that are coming in that we see are for alcohol use. it's incredible. last week alone my recovery coaches had responded to 111 calls in the emergency room of rhode island. it is the smallest state in the country. it was 111 calls i think it was 69 of them were alcohol
responses. i'm a commissioner for a returning citizen affairs. one of the things that my partner and i do, first of all, we are aware there is that disconnection. between our organization and the mayor and commissioners we are and we take that because we are trying to create something that it's okay and how you need to support when you go home.
evaluation and treatment. that's just wrong. that's just wrong. and having observed that one of the things that is going to be a priority will be to work to do exactly what you're doing to make those connections for people. what i would like to see is programs that divert away from the justice system and get the care and services that they need. [ applause ] one of the first things i was given the opportunity to do was to make recommendations about our 2019 budget and i recommended increases to our justice and juvenile justice increases so that we'll have
more programs that will help us to understand better how to help people and to get and to disseminate that information out to states and communities so that they can get that information out and get programs in place and help people. we will have more for resources to help with assertive community treatment programs, to help people to stay away from the justice system and we will be providing more services working with cms to collaboratively provide services coming out so they can get the resources they need. one of the things the assistant secretary requires is that we for the first time congress has said the assistant secretary must work with other agencies. so the secretary price mentioned the serious mental illness
committee. already our federal partners are working with us. so labor and education and the va and the dod and housing and urban development. >> jason robinson and i want to thank everybody for your personal stories. haze great example. thank you for all of the leadership. i'm with self-help and recovery in los angeles. and one of the things you mentioned was evp's. my question is twofold. first, self-help support groups are an evidence based practice that are greatly under utilized
when we talk about how to use evp's. is there an effort to increase our connection for systems of care with self-help support groups and second, in la county we had a great difficulty with rolling out evp's because one of the things that happened is evp's became profit centers and became incredibly expensive to roll out and difficult to adhere to fidelity as more people were using them. how do we address those things? >> thank you for that question. evidence based practices, we have the information that we need. we know what we need to do and too often they are not used by many types of programs. one of the things that we can do
within federal agencies is to provide some oversight and guidance to states and communities about evidence based practices and how they need to be used. one of the other things that we need to do is we need to work with our insurers so that they understand what are evidence based practices within bela behavioral health and pay for those treatments. [ applause ] >> follow this online. we'll take you to a discussion where retired japanese military officials will be speaking about their nation's defense considering the changing environment including the north korean nuclear threat.